Progress In Making Nhs Efficiency Savings
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Progress In Making Nhs Efficiency Savings
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2012-12-13
Progress In Making Nhs Efficiency Savings written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-13 with Medical categories.
The Department of Health has reported that the NHS achieved £5.8 billion of savings in 2011-12, virtually all of the forecast total of £5.9 billion. Most of the savings were generated through the pay freeze for public sector staff, and reductions in the prices primary care trusts pay for healthcare. NHS bodies also made savings by cutting back-office costs. However, there is limited assurance that all the reported savings were achieved. The NAO substantiated a total of £3.4 billion of NHS efficiency savings. Although the savings made by NHS providers as a percentage of operating costs are increasing, it is not clear what level of savings is sustainable over time. Changes to transform services take time to implement and the Department has always expected that these savings will predominantly come in the latter half of the four-year period. The NHS is seeking to maintain the quality of, and access to, healthcare at the same time as making efficiency savings. In 2011-12, the NHS performed well against headline indicators of quality, including waiting times and healthcare associated infection rates. The indicators focus mainly on hospital care and the Department faces a significant challenge in monitoring quality across the NHS as a whole. The Department does not know whether the demand for healthcare is being managed in ways that inappropriately restrict patients' access to care. Reducing demand and redesigning care pathways to treat patients in the most appropriate setting are key ways of generating savings
Department Of Health
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2013-03-22
Department Of Health written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-22 with Medical categories.
The NHS has achieved its financial savings target, but this has in large part come from freezing wages and there is concern that other savings are being achieved by rationing patients' access to certain treatments. These include cataract surgery and hip and knee replacements. These procedures are described as being 'of low clinical value' but they can make a real difference to a patient's quality of life. Furthermore, the finances of some trusts are fragile, and there is a risk they may resort to simple cost-cutting rather than finding genuine efficiency savings. The NHS must fundamentally change the way that healthcare is provided to secure the level of savings needed in the future, for example by moving services out of hospitals and into the community. The Committee is not satisfied that the Department and the NHS Commissioning Board is doing enough to help the NHS transform services. Local people are understandably resistant when proposals are made to close their local hospital or reduce the range of services it provides. It is down to the Department to make a clear case for change from the patient's point of view, demonstrating the benefits in terms of the quality and safety of care as well as cost savings. Although the Department reported that the NHS made savings in 2011-12 of £5.8 billion, virtually all of that year's forecast of £5.9 billion, that data is not fully reliable. Only 60% of the savings it claimed to have made during 2011-12 could be substantiated using national data
Occupational Therapies Without Borders E Book
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Author : Dikaios Sakellariou
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-09-23
Occupational Therapies Without Borders E Book written by Dikaios Sakellariou and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-23 with Medical categories.
The new edition of this landmark international work builds on the previous two volumes, offering a window onto occupational therapy practice, theory and ideas in different cultures and geographies. It emphasizes the importance of critically deconstructing and engaging with the broader context of occupation, particularly around how occupational injustices are shaped through political, economic and historical factors. Centering on the wider social and political aspects of occupation and occupation-based practices, this textbook aims to inspire occupational therapy students and practitioners to include transformational elements into their practice. It also illustrates how occupational therapists from all over the world can affect positive changes by engaging with political and historical contexts. Divided into six sections, the new edition begins by analyzing the key concepts outlined throughout, along with an overview on the importance and practicalities of monitoring and evaluation in community projects. Section Two explores occupation and justice emphasizing that issues of occupational injustice are present everywhere, in different forms: from clinical settings to community-based rehabilitation. Section Three covers the enactment of different Occupational Therapies with a focus on the multiplicity of occupational therapy from the intimately personal to the broadly political. Section Four engages with the broader context of occupational therapy from the political to the financial. The chapters in this section highlight the recent financial crisis and the impact it has had on people’s everyday life. Section Five collects a range of different approaches to working to enable a notion of occupational justice. Featuring chapters from across the globe, Section Six concludes by highlighting the importance and diversity of educational practices. Comprehensively covers occupational therapy theory, methodology and practice examples related to working with underserved and neglected populations Gives a truly global overview with contributions from over 100 international leading experts in the field and across a range of geographical, political and linguistic contexts Demonstrates how occupational injustices are shaped through political, economic and historical factors Advocates participatory approaches which work for those who experience inequalities Includes a complete set of new chapters Explores neoliberalism and financial contexts, and their impact on occupation Examines the concept of disability Discusses theoretical and practical approaches to occupational justice
Public Expenditure
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2012-01-24
Public Expenditure written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-24 with Medical categories.
The fact that there is another bill going through Parliament changing the management structure of the NHS means that there is a tendency for every comment about the NHS to be framed by the debate about the bill. But the NHS is well used to management change. In reality the key pressures which are building in the system arise from the fact that demand is continuing to grow at a time when health and social care budgets have stopped growing. This development has been well signposted. The implications were first highlighted by Sir David Nicholson in May 2009, and endorsed by both the previous government and the Coalition. This report is a review of progress within the health and care system towards meeting the 'Nicholson challenge'. The NHS funding challenge can only be met by rethinking and redesigning the way health services are delivered now, in order to deliver lasting long term benefits. The Committee's December 2010 report (HC 512, session 2010-11, ISBN 9780215555601) on health expenditure already expressed concerns then about the ability of the health service and local authorities to make the demanding efficiency gains required of them by the 2010 Spending Review, while maintaining quality of care. Both the NHS and local authorities are struggling to meet current targets in a sustainable, long-term manner that will maintain high quality, efficient care in the future. The need to provide high-quality and efficient services that meet local needs within the funding available must be addressed as a matter of urgency
Dismantling The Nhs
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Author : Exworthy, Mark
language : en
Publisher: Policy Press
Release Date : 2016-07-28
Dismantling The Nhs written by Exworthy, Mark and has been published by Policy Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-07-28 with Medical categories.
This book provides an in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act, arguably the most extensive reforms ever introduced in the NHS. Contributions from leading researchers from the UK, the US and New Zealand examine the reforms in the contexts of national health policy, commissioning and service provision, governance and others. Collectively, the chapters presents a broader assessment of the trajectory of health reforms in the context of marketisation, the rise of health consumerism and the revelation of medical scandals. This is essential reading for those studying the NHS, those who work in it, and those who seek to gain a better understanding of this key public service.
Public Expenditure On Health And Care Services
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2013-03-19
Public Expenditure On Health And Care Services written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-19 with Medical categories.
This report states that the values of the NHS will only be reflected in practice if NHS and social care services are 're-imagined'. The care provided by the health and social care system will break down if quicker progress is not made to develop more integrated health and social care services which focus on meeting the needs of individual patients. It is unlikely that public expenditure on health and social care services will increase significantly in the foreseeable future. This means that the only way to sustain or improve present service levels in the NHS will be to focus on a transformation of care through genuine and sustained service integration. There must be a much more joined up approach to commissioning health and care services. On other issues the Health Committee also concludes: measures currently being used to respond to the Nicholson Challenge too often represent short-term fixes rather than the sustainable long-term service transformations; changes in tariff payments within the NHS do not constitute ’efficiency savings' - they are simply internal transfers; under-spending against budget of money allocated to the NHS has attracted adverse comment and the MPs call for a general review of the operation of Treasury rules; the NHS will not be able to rely on the present rate of paybill savings once the present restraints on public sector pay are relaxed in April 2013
Hc 401 Managing The Care Of People With Long Term Conditions
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2014-07-03
Hc 401 Managing The Care Of People With Long Term Conditions written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-03 with Medical categories.
15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. One projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016. Increasingly, patients do not have a single long-term condition but live with two or more conditions, complicating treatment and adding to its cost. The Committee strongly supports the development of individual care planning for people with long-term conditions, based on the principles successfully demonstrated in the NHS House of Care programme. Care planning approaches will involve GPs, community health services and specialists sitting down with the patient to draw up a personalised plan for the care required, which includes the support needed to help the patient manage his or her own condition. The challenge, though, of introducing personalised care planning for 15 million people is substantial. The Committee looked at the prevailing view that services to treat long-term conditions should be moved out of hospitals and into primary and community care. To provide effective care for these conditions, services have to be maintained across all settings, from support in the home through to acute specialist care, and many conditions will continue to require specialist services delivered in hospital. Effective management of long-term conditions also requires collaboration with other government providers, such as housing and transport services.
The Politics Of Management Knowledge In Times Of Austerity
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Author : Ewan Ferlie
language : en
Publisher: Oxford University Press
Release Date : 2018-10-25
The Politics Of Management Knowledge In Times Of Austerity written by Ewan Ferlie and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-25 with Business & Economics categories.
While the implementation of evidence-based medicine guidelines is well studied, there has been little investigation into the extent to which a parallel evidence-based management movement has been influential within health care organizations. This book explores the various management knowledges and associated texts apparent in English health care organizations, and considers how the local reception of these texts was influenced by the macro level political economy of public services reform evident during the period of the politics of austerity. The research outlined in this volume shows that very few evidence-based management texts are apparent within health care organizations, despite the influence of certain knowledge producers, such as national agencies, think tanks, management consultancies, and business schools in the industry. Bringing together the often disconnected academic literature on management knowledge and public policy, the volume addresses the ways in which preferred management knowledges and texts in these publicly funded settings are sensitive to the macro level political economy of public services reform, offering an empirically grounded critique of the evidence-based management movement.
The Essentials Of Nursing Leadership
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Author : Ruth Taylor
language : en
Publisher: SAGE
Release Date : 2016-12-05
The Essentials Of Nursing Leadership written by Ruth Taylor and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-12-05 with Medical categories.
This new approach to leadership focuses on how students can develop leadership skills right from the start of their nursing programme through to transitioning to their first role. The book first takes students through the underpinning knowledge and theory and then through practical skills to help them understand all aspects of leadership and how it is a key component of providing quality care to patients in a range of environments and settings. Real stories from nursing leaders, practitioners and students are included to inspire students and show them how they can impact positively on practice, whatever level they are working at. Key features include: Real life focus, grounded in everyday practice, with lots of case studies and examples to help students see how theory relates to practice Activities to help students reflect about their own practice, and about themselves as leaders Video interviews with nurse leaders and students on the companion website Further reading and links to journal articles in both the book and the companion website help students delve deeper and prepare for assessments.
Making Government Operations More Sustainable
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Author : Great Britain: Parliament: House of Commons: Environmental Audit Committee
language : en
Publisher: The Stationery Office
Release Date : 2008
Making Government Operations More Sustainable written by Great Britain: Parliament: House of Commons: Environmental Audit Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Political Science categories.
Greening Government operations is important in its own right, because of the size and range of their environmental impacts. Each year central Government offices produce approximately 2.3 million tonnes of CO2 emissions (around 0.4 per cent of the UK total) and 309,000 tonnes of waste. Central Government spends £60 billion on goods and services each year and through sustainable procurement it could accelerate the take-up of environmentally friendly products. This report examines progress relating to: carbon emissions; renewable energy; carbon neutrality; energy consumption; Government response to the Sustainable Development Commission (SDC); the role of the Sustainable Development Commission. The record is poor on carbon emissions. Excellent progress has been made on increasing the use of green electricity, but progress on generating its own electricity from on-site or district renewables has been very disappointing. The target of making the Government Estate carbon neutral by 2012 will depend very heavily on buying offsets. It is important the Government does as much as possible to reduce its own emissions. The newly-announced Greening Government IT programme is encouraging, given that increased use of IT would appear to be the biggest single factor in the upward trend in emissions from civil departments. The Government has, encouragingly, announced significant reforms in its response to the SDC's report. The Commission is having a significant influence in galvanising Government to improve its structures.